Oral Lesions in Pediatric Subjects: SARS-CoV-2 Infection and COVID-19 Vaccination

A plethora of systemic manifestations of COVID-19 and adverse reactions to COVID-19 vaccines have been described in pediatric subjects. Therefore, the present systematic review primarily aimed to assess the prevalence and macro-microscopic features of oral lesions following SARS-CoV-2 infection, gra...

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Main Authors: Federica Di Spirito, Mario Caggiano, Maria Pia Di Palo, Maria Contaldo, Francesco D’Ambrosio, Stefano Martina, Alessandra Amato
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/12/18/8995
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author Federica Di Spirito
Mario Caggiano
Maria Pia Di Palo
Maria Contaldo
Francesco D’Ambrosio
Stefano Martina
Alessandra Amato
author_facet Federica Di Spirito
Mario Caggiano
Maria Pia Di Palo
Maria Contaldo
Francesco D’Ambrosio
Stefano Martina
Alessandra Amato
author_sort Federica Di Spirito
collection DOAJ
description A plethora of systemic manifestations of COVID-19 and adverse reactions to COVID-19 vaccines have been described in pediatric subjects. Therefore, the present systematic review primarily aimed to assess the prevalence and macro-microscopic features of oral lesions following SARS-CoV-2 infection, grading primary oral lesions based on COVID-19 forms, in pediatric subjects. The secondary aim was to evaluate the epidemiology, clinical appearance, and histopathology of oral lesions following the WHO Emergency Use Listing approved and EMA authorized vaccines, in relation to cases and vaccine characteristics. The study protocol was compliant with the PRISMA statement and registered on PROSPERO (CRD42022351821). Case reports, case series, and observational studies were electronically searched till 27 July 2022, on MEDLINE/PubMed, Scopus, and Cochrane library databases, and the PROSPERO register. Data from nine studies describing oral lesions following viral infection and two records reporting oral lesions following vaccine administration, evaluated through the ROBINS-I tool for quality, were independently extracted and qualitatively synthesized, resulting in scarce, jeopardized, and incomplete findings. Since most of the rare lesions recorded were a part of broad-spectrum systemic disorders and syndromes and, thus. undetailed or nonspecific, further studies should assess oral lesions following SARS-CoV-2 infection and vaccination in pediatric subjects, considering novel viral variants and newly developing vaccines.
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spelling doaj.art-baa05aa85def44bb9e8ecc25116b14db2023-11-23T14:51:24ZengMDPI AGApplied Sciences2076-34172022-09-011218899510.3390/app12188995Oral Lesions in Pediatric Subjects: SARS-CoV-2 Infection and COVID-19 VaccinationFederica Di Spirito0Mario Caggiano1Maria Pia Di Palo2Maria Contaldo3Francesco D’Ambrosio4Stefano Martina5Alessandra Amato6Department of Medicine, Surgery and Dentistry, University of Salerno, 84084 Salerno, ItalyDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84084 Salerno, ItalyDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84084 Salerno, ItalyMultidisciplinary Department of Medical-Surgical and Odontostomatological Specialities, University of Campania “Luigi Vanvitelli”, 81100 Naples, ItalyDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84084 Salerno, ItalyDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84084 Salerno, ItalyDepartment of Neuroscience, Reproductive Science and Dentistry, University of Naples Federico II, 80138 Naples, ItalyA plethora of systemic manifestations of COVID-19 and adverse reactions to COVID-19 vaccines have been described in pediatric subjects. Therefore, the present systematic review primarily aimed to assess the prevalence and macro-microscopic features of oral lesions following SARS-CoV-2 infection, grading primary oral lesions based on COVID-19 forms, in pediatric subjects. The secondary aim was to evaluate the epidemiology, clinical appearance, and histopathology of oral lesions following the WHO Emergency Use Listing approved and EMA authorized vaccines, in relation to cases and vaccine characteristics. The study protocol was compliant with the PRISMA statement and registered on PROSPERO (CRD42022351821). Case reports, case series, and observational studies were electronically searched till 27 July 2022, on MEDLINE/PubMed, Scopus, and Cochrane library databases, and the PROSPERO register. Data from nine studies describing oral lesions following viral infection and two records reporting oral lesions following vaccine administration, evaluated through the ROBINS-I tool for quality, were independently extracted and qualitatively synthesized, resulting in scarce, jeopardized, and incomplete findings. Since most of the rare lesions recorded were a part of broad-spectrum systemic disorders and syndromes and, thus. undetailed or nonspecific, further studies should assess oral lesions following SARS-CoV-2 infection and vaccination in pediatric subjects, considering novel viral variants and newly developing vaccines.https://www.mdpi.com/2076-3417/12/18/8995COVID-19SARS-CoV-2Coronavirus disease 2019novel coronavirusoral lesionsoral manifestations
spellingShingle Federica Di Spirito
Mario Caggiano
Maria Pia Di Palo
Maria Contaldo
Francesco D’Ambrosio
Stefano Martina
Alessandra Amato
Oral Lesions in Pediatric Subjects: SARS-CoV-2 Infection and COVID-19 Vaccination
Applied Sciences
COVID-19
SARS-CoV-2
Coronavirus disease 2019
novel coronavirus
oral lesions
oral manifestations
title Oral Lesions in Pediatric Subjects: SARS-CoV-2 Infection and COVID-19 Vaccination
title_full Oral Lesions in Pediatric Subjects: SARS-CoV-2 Infection and COVID-19 Vaccination
title_fullStr Oral Lesions in Pediatric Subjects: SARS-CoV-2 Infection and COVID-19 Vaccination
title_full_unstemmed Oral Lesions in Pediatric Subjects: SARS-CoV-2 Infection and COVID-19 Vaccination
title_short Oral Lesions in Pediatric Subjects: SARS-CoV-2 Infection and COVID-19 Vaccination
title_sort oral lesions in pediatric subjects sars cov 2 infection and covid 19 vaccination
topic COVID-19
SARS-CoV-2
Coronavirus disease 2019
novel coronavirus
oral lesions
oral manifestations
url https://www.mdpi.com/2076-3417/12/18/8995
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